Physician

Benjamin James Fowler, MD, PHD

According to 2025 Medicare claims, Benjamin Fowler, MD, PHD (NPI: 1508397050) practices ophthalmology in the Portland-South Portland, ME market, with the plurality of this provider's patient population coming from Cumberland, ME. This provider's primary affiliated billing organization is MAINE EYE CENTER, PA (NPI: 1720044878; TIN: 01-0329291) and primary practice location at 04101-2438. Fowler is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), participating under the MSSP model.

Fowler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 373 traditional Medicare patients, billed 6,214 HCPCS/CPT codes, and received $682,932 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 444 prescription claims across 146 beneficiaries totaling $12,521 in drug costs, led by Atropine Sulfate (Atropine Sulfate). Open Payments data shows 6 records totaling $145. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $10,395 and ending at $12,521. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$341K$683K2021 Medicare payment: $12,213 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $25,205 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $109,723 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $682,932 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
202176172$12,213
2022184341$25,205
20232331,202$109,723
20243736,214$682,932

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$13K$25K2018 Drug cost: $10,395 (USD; Tot_Drug_Cst)2019 Drug cost: $14,282 (USD; Tot_Drug_Cst)2020 Drug cost: $14,539 (USD; Tot_Drug_Cst)2021 Drug cost: $25,364 (USD; Tot_Drug_Cst)2022 Drug cost: $17,185 (USD; Tot_Drug_Cst)2023 Drug cost: $8,818 (USD; Tot_Drug_Cst)2024 Drug cost: $12,521 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201880149$10,395
201980246$14,282
202099316$14,539
2021116384$25,364
2022104277$17,185
202399228$8,818
2024146444$12,521

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
92004New patient complete exam of visual system108108$101
67028Injection of drug into eye89378$92
92014Established patient complete exam of visual system261394$89
92134Imaging of retina319630$29
92250Photography of the retina137196$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Atropine SulfateAtropine Sulfate962,121$2,153
Prednisolone AcetatePrednisolone Acetate601,862$1,467
DifluprednateDifluprednate11150$1,190
Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha1153,030$1,058
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat443,165$594

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$145ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Benjamin James Fowler, MD, PHD?

Tedicare shows public-source Medicare data for Benjamin James Fowler, MD, PHD (NPI 1508397050), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Benjamin James Fowler, MD, PHD have ACO affiliation data?

Benjamin James Fowler, MD, PHD is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290).

What billing organization is linked to Benjamin James Fowler, MD, PHD?

Benjamin James Fowler, MD, PHD is linked to MAINE EYE CENTER, PA (billing NPI 1720044878) in the available physician profile data.

Does Benjamin James Fowler, MD, PHD have Open Payments data?

Benjamin James Fowler, MD, PHD has 6 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.